Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $83.52 / $126.72	Professional		$58.04	$83.52	$126.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $104.63 / $153.65	Professional		$101.22	$104.63	$153.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $91.50 / $122.02	Facility		$12.21	$91.50	$122.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $91.50 / $122.02	Professional		$12.21	$91.50	$122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $112.48	Professional		$38.25	$45.00	$112.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $82.04 / $116.11	Professional		$74.45	$82.04	$116.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $89.15 / $94.72	Professional		$50.61	$89.15	$94.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $54.00 / $112.48	Professional		$45.00	$54.00	$112.48
United Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $75.33 / $120.03	Professional		$43.98	$75.33	$120.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $89.15 / $89.15	Facility		$89.15	$89.15	$89.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $89.15 / $94.72	Professional		$50.61	$89.15	$94.72